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1. Authorizing Party Details: Complete identification details of the person giving authorization, including full name, address, contact information, and any relevant ID numbers
2. Recipient Party Details: Complete details of the third party who will receive the information, including organization name, address, and contact information
3. Information Holder Details: Details of the entity currently holding the information who will release it (if different from the authorizing party)
4. Information Description: Specific description of the information to be released, including type, scope, and any relevant time periods
5. Purpose of Disclosure: Clear statement of the purpose for which the information is being released
6. Duration of Authorization: Specific period for which the authorization remains valid
7. Declaration and Consent: Formal statement of authorization and acknowledgment of understanding the implications
8. Signature Block: Space for signatures, dates, and witness details if required
1. Revocation Rights: Section explaining the right to revoke authorization and the process for doing so
2. Redisclosure Statement: Statement regarding whether the recipient is permitted to further disclose the information to other parties
3. Special Instructions: Any specific instructions regarding the handling, transmission, or use of the information
4. Data Protection Notice: Additional privacy and data protection statements required for sensitive personal information
5. Emergency Contact: Contact details for emergency situations or urgent queries regarding the authorization
1. Schedule A - Detailed Information List: Itemized list of specific documents or information to be released when the main form cannot accommodate all details
2. Schedule B - Special Conditions: Any special conditions or restrictions regarding the use or handling of the information
3. Appendix 1 - Identity Verification Documents: Copies or details of identity documents used to verify the authorizing party
Healthcare
Financial Services
Education
Insurance
Legal Services
Human Resources
Real Estate
Banking
Telecommunications
Government Services
Professional Services
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Administrative Services
Records Management
Data Protection
Customer Service
Compliance Officer
Legal Counsel
Privacy Officer
Data Protection Officer
HR Manager
Records Manager
Information Security Manager
Risk Manager
Operations Manager
Administrative Officer
Medical Records Officer
Financial Controller
Company Secretary
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ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it